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PERES DENTAL CLINIC NPI 1306274147


NPI Information

NPI: 1306274147
Provider Name: PERES DENTAL CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
719 5TH ST
RICHMOND, CA
ZIP 94801
Phone: (510) 231-1407
Get Directions

PERES DENTAL CLINIC is a general practice dentist in Richmond, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PERES DENTAL CLINIC NPI is 1306274147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

719 5TH ST
RICHMOND, CA
ZIP 94801-654
Phone: (510) 231-1407

The provider's authorized official is Jawan Eldridge .
The authorized official title is Principal and has the following contact phone number (510) 231-1407.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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